Wellcare Exam 2024 EXAM WITH VERIFIED ANSWERS

Wellcare Exam 2024 EXAM WITH
VERIFIED ANSWERS



A irequest ito ithe iplan ito ithe iplan ifrom ia imember ior iprovider ifor ia iformal ireview iof ian iAction
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i(Denial) ior i
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Adverse iPlan iDetermination i(medicare) iis ia/an: i- icorrect iAnswers i✔✔ i-a.APPEAL
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A igrievance irequest, ior iany ievidence iconcerning ia igrievance, imust ibe ifiled iorally ior iin iwriting
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ino ilater ithan i__ icalendar idays ifrom ithe idate iof ithe ievent ior ithe idate ithe imember iis imade
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iaware iof ithe iissue. i- icorrect iAnswers i✔✔ i-60
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An iLEP iis iassessed iby iCMS iwhen ia imember igoes___days ior ilonger iwithout icreditable
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iprescription idrug i
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coverage iafter ithey ibecome iMedicare-eligible. i- icorrect iAnswers i✔✔ i-B. i63 iDAYS
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Ascend iis ia ifast, ieasy, iand icompliant iway ifor ibrokers/agents ito isubmit iagent-assisted ielectronic i
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enrollments. i- icorrect iAnswers i✔✔ i-TRUE kr kr kr kr kr




A iHealth iRisk iAssessment i(HRA): i- icorrect iAnswers i✔✔ i-a. iProvides iphysiscians iwith ian
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ioverview iof ia imember's ihealth istatus. i
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B. ihelp ius iunderstand ithe i
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unique ihealth isituation iog ieach iof iour imembers iand iallows ius ito imake isure ithey ireceive ithe i
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services ithat imeet itheir ineeds. kr kr kr kr




c. iis ian iimportant ipart iof iour iquality iinitiative, idirectly i
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impacting iour istar iratings. i kr kr kr kr




D. iALL iOF iTHESE i(CORRECT)
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A ibroker/agent imay ibe iterminated ifor icause iif ithey ifail ito icomply iwith icompliance iinvestigation,
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iencourage iothers ito iavoid ithe icompliance iinterview iprocess, ior ifail ito iprovide itruthful icomplete
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iinformation. i- icorrect iAnswers i✔✔ i-TRUE
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, A ibroker/ iagent iwho ihas inever ihad iany iverbal iwarnings icannot ibe iissued ia icorrective iaction
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iplan. i- icorrect iAnswers i✔✔ i-FALSE
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A iLow-income isubsidy i(LIS) imember iwill ibe iassigned iof ithe i__copay icategories idepending ion
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ithe ilevel iof ineed. i- icorrect iAnswers i✔✔ i-C. iFOUR
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All iprescription idrug iplans i(PDPs) iwill ifeature ia i$0 iTier i1 ibenefit iwhen ifilled iat ipreferred
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ipharmacies. i- icorrect iAnswers i✔✔ i-TRUE
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All iprescription idrug iplans i(PDPs) iwill icontinue ito ioffer i$0 iTier i1 ipreferred icost-sharing ithrough
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iExpress iScripts ipharmacy i(mail iorder). i- icorrect iAnswers i✔✔ i-TRUE
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All iPrescription iDrug iPlans i(PDPs) iwill ioffer ia i$__ icopay ifor imost iPart iD ipreventive iVaccines,
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iregardless iof iwhich inetwork ipharmacy iis iused iby imembers. i- icorrect iAnswers i✔✔ i-ZERO
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At ithe iend iof ithis icourse, ithere iwill ibe ia iMastery iExam. iAgents imust iachieve ia ipassing iscore
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iof i85% ior ihigher ito isuccessfully icomplete ithis icourse. i- icorrect iAnswers i✔✔ i-TRUE
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Although ioptions ifor icapturing iand isubmitting iSOAs ivary iby ihealth iplan, iwellcare iaccepts iSOAs
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iin iwhich iof ithe ifollowing imethods? i- icorrect iAnswers i✔✔ i-ALL iOF iTHESE
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Any irequest ior idistribution iof iPH ishould icontain ionly ithe iminimum iamount iof iPH irequired ito
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icomplete ithe iintended itask i- icorrect iAnswers i✔✔ i-TRUE
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An iSEP iis ia iperiod ioutside iof ithe iICEP, iAEP, ior iMA iOEP iwhen ibeneficiaries ican ienroll ibased
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isolely ion ilife ievents ithat iqualify ifor ian iSEP iperiod. i- icorrect iAnswers i✔✔ i-TRUE
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Beneficiary-facing imarketing imaterials ifor imultiple iMA iorganizations ior iplans imust ibe isubmitted kr kr kr kr kr kr kr kr kr kr kr




ito ithe iHPMS iMarketing iModule iby ithe ithird-party imarketing iorganization i(TPMO) ino ilater ithan
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i30 idays iof iuse. i- icorrect iAnswers i✔✔ i-FALSE
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Broker/Agents ican isubmit ia isupport iticket ionline ithrough itheir iCentene iWorkbench iportal i-
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icorrect iAnswers i✔✔ i-TRUE
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Brokers/agents imay ibe iinvestigated iafter ibeing isuspected iof inoncompliant iactivity ireported
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ithrough ia: i- icorrect iAnswers i✔✔ i-a. iCompliant itracking imodule i(CTM) i
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b. iGrievance i
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c. isecret ishop ifinding.
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Broker/Agents ican iaccess ithe ifollowing iresources iunder ithe iShared iResources isection iin iCentene
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iWorkbench i- icorrect iAnswers i✔✔ i-ALL iOF iTHESE
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Broker/Agents ican iaccess iand idownload ienrollment imaterials ithrough iCustomPoint. i- icorrect
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iAnswers i✔✔ i-TRUE
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